International Journal of Trend in Scientific Research and Development (IJTSRD)

Volume 7 Issue 5, September-October 2023 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470

A Study Assess the Level of Stress among Patients with

Type II Diabetes Mellitus in Relation to Level of
Blood Sugar at Nerkundrum I UPHC
Parimala. L1, Sruthi Raj. P2, Rathina Priya. V3
1
Associate Professor, Department of Medical and Surgical Nursing, SIMATS, Thandalam, Tamil Nadu, India
2,3
B.Sc. Nursing, 4th Year, Saveetha College of Nursing, SIMATS, Thandalam, Tamil Nadu, India

ABSTRACT How to cite this paper: Parimala. L |

Background: The present study aim was to assess the level of stress Sruthi Raj. P | Rathina Priya. V "A
among patients with type II diabetes mellitus in relation to level of Study Assess the Level of Stress among
blood sugar at Nerkundrum I UPHC. Purpose: The current study was Patients with Type II Diabetes Mellitus
aim to assess different areas of demand and to determine the in Relation to Level of Blood Sugar at
Nerkundrum I UPHC" Published in
relationship between stress and blood sugar level among patients with
International
type II diabetes mellitus. Materials and Methods: Non-experimental Journal of Trend in
descriptive research approach study was conducted in the Scientific Research
Nerkundrum I UPHC. A total of 60 study participants was recruited and Development
using non-probablity convenient sampling technique based on the (ijtsrd), ISSN:
inclusion criteria, the demographic variables and five point likert 2456-6470,
rating stress scale was assessed by using a questionnaire and assess Volume-7 | Issue-5, IJTSRD60039
the level of stress among diabetes mellitus clients was estimated October 2023,
during 2 weeks. Results: The study shows that most of the clients pp.779-782, URL:
with type 2 diabetes patients 21(35%) were aged between 51-60 www.ijtsrd.com/papers/ijtsrd60039.pdf
years, 31(51.7%) were female, 22(36.7%) had primary school
Copyright © 2023 by author (s) and
education, 30(50%) were vegetarian and non-vegetarian respectively. International Journal of Trend in
32(53.3%) were heavy workers, 17(28.3%) had family income of Scientific Research and Development
below Rs.5000, 27(45%) had no family history, 23(38.3%) had Journal. This is an
diabetes mellitus for 1 to 2 years and 32(53.3%) were doing regular Open Access article
follow-up. Conclusion: This study assessed there was a relationship distributed under the
between the level of stress and level of blood sugar in the area of terms of the Creative Commons
medications. Attribution License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
KEYWORDS: Stress, Type II Diabetes mellitus, Blood sugar

INTRODUCTION
Stress is an inevitable part of life. Human beings Generally stress can raise the blood sugar level. Any
experience stress early even before they are born. A type of illness, infection, stress (emotional or
certain amount of stress is normal and necessary for physical), surgery, dental problem, injury, etc. will
survival. Stress helps children develop the skill they cause stresson the body. When this occurs, the body
need to cope with and adopt to new and potentially needs more energy to “fight” this stressor, so it
threatening situations throughout life. releases hormones called “Counter Regulatory
The beneficial aspects of stress diminish when it is Hormones.” The hormones convey a message to the
severe enough to overwhelm a child’s ability to liver to release extra glucose to provide needed
cope effectively. Intensive and prolonged stress can energy. As a result, blood glucose will rise, and
lead to a variety of strong and long term negative typically insulin – requiring person will need more
health effects. It can distrupt early brain development insulin during a stressful event. Likewise, a person
and compromise functioning of the nervous and taking oral diabetes medication may require a
immune system. In addition childhood stress can lead temporary increase in the dose; and a person who is
to health problems later in life including alcoholism, diet-controlled could, in some instances, temporarily
depression, eating disorders, cancer and other chronic require oral medication.
diseases. Type II diabetes mellitus is the commonest form of
diabetesconstituting 90% of the diabetic population.

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 International Journal of Trend in Scientific Research and Development @ www.ijtsrd.com eISSN: 2456-6470
The global prevalence of diabetes is estimated to with the sample size of the study was 60 who has type
increase from 4% in 1995 to 5.4% by 2005. II diabetes mellitus selected by non-convenient
sampling technique and who fulfilled the inclusion
According to World Health Organisation (2000) at
least 171 Million peopleworld wide will suffer from criteria. The inclusion criteria were both sex, patients
diabetes. Its incidence increases rapidly and it is who had type II diabetes mellitus for more than 5
estimated that by the year 2030 this number will years, patients who were willing to participate in the
almost double. Diabetes Mellitus occurs, throughout study, patients whose blood sugar was more than of
the world but it is more common (especially type II) 150 mg\dl, patients who could understand and read
in the more developed countries. The greatest Tamil or English. The exclusion criteria were patients
increase is in Asia and Africa where most patients who were aged below 20 years, patients having other
will probably be found in 2030. The increased associated diseases, patients with psychiatric illness,
incidence of diabetes in developing countries follows high risk patients, patients with the history of
the trend of urbanization and life style changes, previous surgical conditions. The study was
perhaps mostimportantly a western style diet conducted at NERKUNDRUM I UPHC.
Questionnaire was used to collect the demographic
Materials and Methods: variables and the level of stress among type II
The study was used non-experimental descriptive diabetes patients was estimated during 2 weeks.
research approach and descriptive research design
Results and Discussion:
SECTION A: DESCRIPTION OF THE DEMOGRAPHIC VARIABLES OF CLIENTS WITH TYPE 2
DIABETES MELLITUS.
The table 1 shows that most of the clients with Type 2 diabetes patients 21(35%) were aged between 51 – 60
years, 31(51.7%) were female, 22(36.7%) had primary school education, 30(50%) were vegetarian and non-
vegetarian respectively, 32(53.3%) were heavy workers, 17(28.3%) had family income of below Rs.5000,
27(45%) had no family history, 23(38.3%) had diabetes mellitus for 1 to 2 years and 32(53.3%) were doing
regular follow-up.

Percentage distribution of education of the clients with Type 2 diabetes mellitus

SECTION B: ASSESSMENT OF LEVEL OF STRESS AND RANDOM BLOOD GLUCOSE AMONG
CLIENTS WITH TYPE 2 DIABETES MELLITUS.
Table 2: Frequency and percentage distribution of level of knowledge among clients with type 2
diabetes mellitus.
N = 60
MILD STRESS MODERATE STRESS SEVERE STRESS
Knowledge
No. % No. % No. %
Pretest 0 0 41 68.3 19 31.6

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The above table 2 shows that, 68.3% of them were in moderate stress, 31.6% of them were in severe stress.
Percentage distribution of level of knowledge among clients with type 2 diabetes mellitus
Table 3: Frequency and percentage distribution of level of random blood sugar among clients with
Type 2 diabetes mellitus.
N = 60
Normal Medium Too High Much Too High
Blood Sugar (90 – 120) mg/dl (120 – 160) mg/dl (160 – 188) mg/dl (240 – 300) mg/dl
No. % No. % No. % No. %
0 0 4 6.67 56 93.33 0 0
The above table 3 shows that 56(93.33%) had too high blood glucose level and 4(6.67%) had medium level of
blood glucose.
SECTION D: ASSOCIATION OF LEVEL OF STRESS WITH SELECTED DEMOGRAPHIC
VARIABLES
The table 5 shows that the demographic variable education had shown statistically significant association with
level of stress among clients with Type 2 diabetes mellitus at p<0.05 level. The other demographic variables had
not shown statistically significant association with level of stress.
CONCLUSION: & Ajlouni, K. (2010). Factors associated with
The study concludes that there was a relationship poor glycemic control among patients with type
between the level of stress and level of blood sugar in 2 diabetes. Journal of Diabetes and its
the area of medications. Among the three level of Complications, 24(2), 84-89
stress, majority of the patients had stress in changing [5] Vicente, A., Candila, J., Thomas, J. J., Gomez
their life style modification. Stress management is a Aguilar, P., & Oliva Aviles, C. (2019). Living
challenge for ever and need to be tackled in different With Type 2 Diabetes in San Jose Tecoh,
ways. Decreased stress level among the patients Yucatan, Mexico: A Phenomenological Study.
would control the blood sugar, prevent them from Journal of Transcultural Nursing, 30(3), 214-
complication, and would improve the quality of life. 221.
AUTHORS CONTRIBUTION: [6] Gonder-Frederick, L. A., Schmidt, K. M.,
All the authors actively participated in the work of the Vajda, K. A., Greear, M. L., Singh, H.,
study. All the authors read and approved the final Shepard, J. A., & Cox, D. J. (2011).
manuscript. Psychometric properties of the hypoglycemia
CONFLICTS OF INTEREST: fear survey-ii for adults with type 1 diabetes.
The authors declare no conflicts of interest. Diabetes care, 34(4), 801-806.
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